Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WV › Wheeling › NPI 1174581938
Physician

John W. Klay M.D., INC.

John W. Klay M.D., INC. was paid $22K by Medicaid between Mar 2018 and Sep 2021, across 5 billing codes. Its largest line is 93970, — 32% of everything it billed.

33Billing provider infoJOHN W. KLAY M.D., INC.
WHEELING, WV 26003
33aNPI1174581938assigned 05/02/2006
33bProvider typeSurgery Physician
28Total paid$22K
24GClaims774
24DCodes billed5
24AFirst – last monthMar 2018 – Sep 2021
Compared with peers

Next to other Surgery Physician providers in West Virginia

Rank by total paid#14 of 21
Median peer was paid$28K
This provider vs. median0.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018327$9K
2019160$4K
2020271$8K
202116$802.20
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93970 32% 274 248 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 175 148 $7K
93925 30% 292 258 $7K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3.6% 16 12 $802.20
93971 1.9% 17 17 $431.79

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialKLAY, JOHN (PRESIDENT)